compliance
August 29, 2022
Health Plan Disclosure Requirements for Prescription Drugs
Under the Affordable Care Act (ACA) transparency-in-coverage (TiC) rules and provisions of the Consolidated Appropriations Act, 2021 (CAA), group health plan sponsors must both disclose and report detailed information regarding a plan’s prescription drug coverage and costs. There is significant ...
August 12, 2022
Compliance Recap | June & July 2022
The summer has seen a flurry of compliance-related activity, most notably the landmark decision issued by the U.S. Supreme Court to overturn Roe v. Wade. As we move into the second half of the 2022 employee benefits compliance calendar, there are a number of important issues to note. SCOTUS ...
July 27, 2022
HHS Issues Proposed Rules under ACA Section 1557 to Clarify Scope of Discrimination Protections
The U.S. Department of Health and Human Services (HHS) has announced a proposed rule (Proposed Rule) implementing Section 1557 of the Affordable Care Act (ACA) that prohibits discrimination on the basis of race, color, national origin, sex, age, and disability in certain health programs and ...
June 30, 2022
An Employer’s Guide to Workplace Protections for Abortion-Related Decisions
Employers likely have questions about abortion-related employment protections and healthcare benefits after Friday’s SCOTUS controversial decision that overturned Roe v. Wade. Given the ruling, people in states with strict abortion limitations may end up traveling to other states to receive ...
June 23, 2022
2022 The Patient-Centered Outcomes Research Institute (PCORI) Fee
The Patient-Centered Outcomes Research Institute (PCORI) fee, which is also referred to as the Comparative Effectiveness Fee, initially applied from 2012 to 2019. However, in December 2019, the Further Consolidated Appropriations Act, 2020 extended the fee to 2029. The fee is due based on ...
June 15, 2022
Compliance Recap | May 2022
The month of May again brought relatively little major employee benefit compliance guidance from federal agencies. However, there was plenty of activity in the courts to provide useful insight into steps employer plan sponsors can take to safeguard against benefits. Department of Labor Provides ...
June 8, 2022
Getting Clarity on Transparency: What Health Plan Sponsors Need to Know about Publishing Machine-Readable Files
As of July 1, 2022, group health plans must clear one of the first major compliance hurdles required by the Affordable Care Act’s (ACA) Transparency in Coverage (TiC) Final Rules. By that date, plans and insurance carriers must have prepared and posted two machine-readable files (MRFs) to a ...
May 18, 2022
Compliance Recap | April 2022
After several very quiet months this year, April saw renewed compliance activity. The IRS provided guidance on transportation fringe benefits unused due to COVID-19 workplace changes and announced inflation-adjusted amounts for HSAs and HRAs. The Centers for Medicare & Medicaid Services ...
May 5, 2022
HHS Releases Notice of Benefit and Payment Parameters for 2023 Final Rule
The Centers for Medicare & Medicaid Services (CMS) has released a final rule along with a fact sheet addressing the benefit and payment parameters for 2023. According to CMS, the 2023 benefit and payment parameters final rule seeks to strengthen the coverage offered by qualified health ...
May 4, 2022
2023 Contribution and Coverage Limits for HSAs
On April 29, 2022, IRS issued Revenue Procedure 2022-24, which provides the 2023 cost-of-living contribution and coverage adjustments for HSAs, as required under Code Section 223(g). It also includes the 2023 limit for Excepted Benefit HRAs. The limits for many items have increased for 2023. ...
